Provider Demographics
NPI:1871624700
Name:NEIMAN, PENINA RACHEL (MS OTR L)
Entity type:Individual
Prefix:MRS
First Name:PENINA
Middle Name:RACHEL
Last Name:NEIMAN
Suffix:
Gender:F
Credentials:MS OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 E 33RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3434
Mailing Address - Country:US
Mailing Address - Phone:718-252-3326
Mailing Address - Fax:
Practice Address - Street 1:7605 13TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2411
Practice Address - Country:US
Practice Address - Phone:718-234-5091
Practice Address - Fax:718-234-5093
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014489225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand